Field Trip Reservation | FARM WISCONSIN DISCOVERY Online Payment

Field Trip Date

*This information is required

1st Choice*

2nd Choice*

3rd Choice*

Contact Details

*This information is required

Name of School or Organization*

Name of Teacher or Group Leader*

First Last

Job Title / Position*

Email*

School Phone Number*

Day of Field Trip Phone Number*

School or Organization Address*

Street Address Address Line 2 City State ZIP Code

Are there any other contacts who you’d like us to list? If so, list their names and email address(es).

School or Organization Affiliation*

Elementary
Middle
High School
Private
Homeschool
K-8
Daycare
College/University
Other

Other Affilliation*

Have you previously planned a field trip to Farm Wisconsin?*

Yes
No
I'm not sure

How did you hear about Farm Wisconsin?*

Previous field trip to Farm Wisconsin
General visit to Farm Wisconsin
Social Media
Farm Wisconsin website
Wisconsin State Fair
Referred by another teacher
Drove by facility
Other

Other*

Number of Attendees (Enter The Number of Students in Each Grade Level)

*This information is required

K3

K4

K5

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

Number of Teachers Attending*

Note: Our minimum chaperone requirement is one adult for every 15 students/youth attending. All teachers receive complimentary admission.

Number of Additional Adults Attending*

Note: For every 15 students/youth in attendance, you will receive one complimentary adult admission.

Arrival & Departure Times / Additional Details

*This information is required

Preferred Arrival Time*

9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm

Preferred Departure Time*

11:00am
11:30am
12:00pm
12:30pm
1:00pm
1:30pm
2:00pm
2:30pm
3:00pm

How Will Your Group Be Arriving At Farm Wisconsin?*

Standard School Bus
Coach Bus
Small Group Bus
Individual Vehicles
Other

Other - Please Explain*

Number of Buses Arriving*

Are You Comfortable With Your Students Potentially Seeing a Live Calf Birth?*

Yes
No

Would You Like To Include Barnyard Adventure Time?*

*Note this is an outdoor playground.

Barnyard playground free time
No

Would You Like To Schedule a Beginner STEM Lab For Your Visit?*

Note: Beginner STEM labs have an add-on fee of $2/student. Read about each STEM lab here: https://farmwisconsin.org/visit/fieldtrip/beginner-stem-labs/

Egg-ceptional Poultry
Craving Cranberries (*Only available Sept - Dec)
Strawberry DNA Extraction
Color Taste Test
No

Would You Like To Schedule an Advanced STEM Lab For Your Visit?*

Note: Advanced STEM labs have an add-on fee of $5/student. Read about each STEM lab here: https://farmwisconsin.org/visit/fieldtrip/advanced-stem/

Feeding the Modern Dairy Cow
Caring for Calves
Dos & Don'ts of Labor and Delivery
I want to customize a lab based on my curriculum goals
No

Would You Like to Eat Lunch at Farm Wisconsin Discovery Center?*

Yes ($10 lunch clean-up fee)
No

Cold, bag lunches may be brought to Farm Wisconsin and eaten on site. A $10 fee will be charged to all groups who bring in their own lunches to cover costs associated with clean-up.

Is Your Group Planning To Order Boxed Lunches From Farm Wisconsin?*

Yes
No

Special Needs or Accommodations

Optional

If you have any attendees that need special accommodations, and/or who have any special needs we should know about, please describe below.

Additional Notes

Optional

Please list any additional notes, requests, program preferences, and/or any other special information we should be aware of.

Billing Details

*This information is required

Reservation Deposit*

Price:

Deposit $50 to make your reservation. Once we receive your reservation we will confirm date and time via email. Full payment is required at least (1) week prior to your visit date. No refunds will be issued for cancellations with less than two (2) weeks notice or for "no shows." All payments are non-refundable and there are no refunds for persons missing on the day of trip. School Group admission rates only apply during the academic school year.

Billing Address*

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Total

$0.00

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